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HAROLD S. IRWIN, III, ESQUIRE
ATTORNEY ID NO. 29920
64 SOUTH PITT STREET
CARLISLE PA 17013
(717) 243-6090
ATTORNEY FOR PETITIONER
IN RE: CHANGE OF NAME OF : IN THE COURT OF COMMON PLEAS OF
DAWNIE ROSE BENJAMIN : CUMBERLAND COUNTY, PENNSYLVANIA
.
.
: NO_ 2006 - (, 3 f I CIVIL TERM
PETITION FOR CHANGE OF NAME
TO THE HONORABLE JUDGES OF SAID COURT:
NOW comes the petitioner, DAWNIE ROSE BENJAMIN, by her attorney, Harold S.
Irwin, III, Esquire, and presents this petition for change of name, representing as
follows:
1. Petitioner is DAWNIE ROSE BENJAMIN, an adult individual residing at 21
Morgan Drive, Carlisle, Cumberland County, Pennsylvania 17015.
2. The petitioner was born on March 5, 1968 in St. Albans, Queens, New York. A
copy of petitioner's birth certificate is incorporated herein by reference and attached
hereto as Exhibit "A".
3. In or about 1977, while petitioner was in fourth grade, petitioner's parents began
calling her "Tayari" instead of "Dawnie" and the following year obtained a social security
card for her using the name of ''Tayari Rose Benjamin". A copy of petitioner's social
security card is incorporated herein by reference and attached hereto as Exhibit "B".
4. Petitioner's driver's license has been in the name of "Tayari Rose Benjamin"
since about 1988. A copy of her current driver's license is incorporated herein by
reference and attached hereto as Exhibit "C".
5. Petitioner's diploma from Towson University, dated May 23,2000, is in the name
of "Tayari Rose Benjamin". A copy of petitioner's college diploma is incorporated herein
by reference and attached hereto as Exhibit "0".
6. There are no judgments or decrees of like character of record against the
petitioner.
7. Petitioner desires a change of her name from "Dawnie Rose Benjamin" to
"Tayari-Dawnie Rose Benjamin" in order to conform the public records and her formal
name to the name which she has used for most of her life and by which she is known to
all of her family, friends and associates.
WHEREFORE, petitioner requests your Honorable Court, pursuant to Act of December
16,1982, P.L. 1309, No. 295, Section 2,54 Pa. Cons. Stat. Section 701, et seq., to do
the following:
A. Fix a hearing on this petition; and
B. Enter a decree changing the name of petitioner from "Dawnie Rose
Benjamin" to "Tayari-Dawnie Rose Benj
HAROLD S. IRWIN, III
Attorney for Petition
October 24, 2006
VERIFICATION
The foregoing petition is true and correct to the best of my knowledge, information and
belief. I understand that false statements made herein are subject to the penalties of
18 Pa.C.S.A. Section 4094, relating to unsworn falsification to authorities.
October 24, 2006
DAWNIE ROSE BENJAMIN, Pe ioner
IN RE: CHANGE OF NAME OF : IN THE COURT OF COMMON PLEAS OF
DAWNIE ROSE BEN.JAMIN : CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 2006 .
CIVIL TERM
OFFICIAL SEARCH
TO THE HONORABLE JUDGES OF SAID COURT:
An official search of the records and indices in the Office of the Prothonotary,
Cumberland County, Pennsylvania, shows that there are no outstanding judgments or
decrees of record against DAWNIE ROSE BENJAMIN.
,2006
Prothonotary
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IN RE: CHANGE OF NAME OF : IN THE COURT OF COMMON PLEAS OF
DAWNIE ROSE BEN.JAMIN : CUMBERLAND COUNTY, PENNSYLVANIA
:
: NO. 2006 - (. -3 1 J CIVIL TERM
ORDER FOR PUBLICA TION
NOW this ~? ~ay of ~~ 2006, upon motion of Harold S. Irwin, III, Esquire,
attorney for petitioners, it is ordered and decreed that the within petition be he;9 on the
U day Of~ ,20', at I. 'oD o'clock L.m. in Courtroom No. _,
Cumberland ounty Courthouse, Carlisle, Pennsylvania, and that notice of heanng be
published in two newspapers of general circulation in this County, one of which may be
the official paper for publication of legal notices in this County.
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NOTICE
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NOTICE IS HEREBY GIVEN that on Ost9~9rd..L, 2006, the petition of Dawnie Rose
Benjamin was filed in the Court of Common Pleas of Cumberland County, praying for a
decree to change her name to Tayari-Dawnie Rose Benjamin.
The Court has fixed .JJAJ\t. ~..d. ,20ot. at ,,'o(J/m., in Courtroom No.3
Cumberland County Courthouse, Carlisle, Pennsylvania, as the time and place for the
hearing of this petition, when and where all persons interested may appear and show
cause, if any they have, why the prayer of the petition should not be granted.
Harold S. Irwin, III, Esquire
64 South Pitt Street
Carlisle, PA 17013
717-243-6090
SP 4-198 (11-99)
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PENNSYLVANIA STATE POLICE
CENTRAL REPOSITORY
1800 ELMERTON AVENUE
HARRISBURG, PA 17110
717-783-3762
DATE: Monday, November 13, 2006
PROTHONOTARY
CUMBERLAND CO COURTHOUSE
ROOM 203
CARLISLE, PA 17013
RE:
SID:
NAI'1E :
SOC:
COURT
BENJAMIN DAWNIE
110-62-3612
DOCKET #: 2006-6381 CIV
In accordance with the Name Change Act of 1998, iht nngtrprim cards of the above lJamed individuaL who
has applied for a name change, has been searched in the tiles of the Pennsylvania State Police. Criminal Records and
Identification Division Central Repository, and:
<x) This person is not subjecIIo 18 P A C.S. Chapter 91, and the fingerprinIs have been destroyed.
) This person is subject to 18 PA C.S. Chapter 91, and the name change has been noted on the person's
criminal history record information.
( ) A criminal record was revealed containing felony convictions. IN ACCORDANCE WITH THE NAME
CHANGE ACT, THE COURT SHALL NOTIFY THE PENNSYLVANIA STATE POLICE WHEN A NAME
CHANGE FOR A PERSON CONVICTED OF A FELONY HAS BEEN ORDERED. The Pennsylvania State
Police, upon receipt of this notice, shall include the change of name information in the Central Repository as
provided for in 18 PA C.S., Chapter 91 (relating to criminal history record information).
) This person has been convicted offelony violation{s) for which the court may not order a change of name.
) A criminal record was revealed that might prohibit a name change. Because the subsection(s) of the
affected conviction(s) has not been provided to us, we are unable to determine whether a name change can
or cannot be made. Please provide the subsection(s) of the following crime(s):
if available.
You are also advised that the above response is based on comparison of fingerprints and associated requester-
furnished information against a name index and tingerprints contained in the tiles of the Pennsylvania State Police
Central Repository - only - and does not preclude the existence of other criminal records which may be obtained in the
repositories of other local, state, or federal criminal justice agencies.
If we may be of any further assistance to you concerning this matter, please contact us at the above address or
telephone number.
Si~J?~
Director, Criminal Records
and Identification Division
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HAROLD S. IRWIN, III, ESQUIRE
ATTORNEY ID NO. 29920
64 SOUTH PITT STREET
CARLISLE PA 17013
(717) 243-6090
ATTORNEY FOR PETITIONER
(j.7
NOV tt 20dr ~
IN RE: CHANGE OF NAME OF
DAWNIE ROSE BENJAMIN
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
.
; NO. 2006. (p 3 d1 CIVIL TERM
DECREE
NOW, this ~d~ay of r~o4l. upon hearing on the within petition and
on motion of Harold S. Irwin, III, Esquire, attorney for petitioner, and upon proof of
publication of notice as required by law, together with proof that there are no judgments
or decrees of record or any other matter of the like effect against Dawnie Rose
Benjamin and it appearing that there is no legal objection to the granting of the prayer
of the petitioner,
IT IS ORDERED AND DECREED that the name of Dawnie Rose Benjamin is hereby
changed to Tayari-Dawnie Rose Benjamin.
J.
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